Assessing the Health and Welfare of the HCBS Population

Table 8C: Medicaid-Only HCBS Participants

Table 8: Outcome Indicators for the Home and Community-Based Services Population by Participant Attributes, 2005a

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Table 8C: Medicaid-Only HCBS Participants

Outcome Indicator White Only, Non-Hispanic Black Only, Non-Hispanic Hispanic Other Race or Multiple Races, Non-Hispanic Unknown Race Male Female Ages 18-64 Ages 65-84 Age 85+ MSA Non-MSA
Short-Term Complications of Diabetes 360 773 338 198 385 421 479 483 135 68 422 604
  Min s s s s s s s s s s s s
  Max 1,747 2,789 4,348 920 s 3,319 2,418 2,377 224 s 2,499 2,502
Asthma or Chronic Obstructive Pulmonary Disease 3,295 3,629 2,914 1,538 2,993 1,891 4,217 3,265 2,943 1,093 2,994 4,216
  Min s s s s s s 741 350 s s 644 s
  Max 7,258 9,964 8,144 39,098 s 4,393 9,389 7,341 29,268 6,324 6,140 9,771
Congestive Heart Failure 2,032 4,937 3,036 1,846 2,466 2,248 3,378 2,734 4,613 5,307 2,914 2,884
  Min s s s s s s 709 s s s s s
  Max 4,983 12,523 17,391 20,571 s 4,702 11,441 8,678 15,107 60,606 8,690 10,572
Composite: Potentially Preventable Infection 4,813 5,440 5,071 3,905 4,328 4,713 5,066 4,830 5,546 7,676 4,718 5,711
  Min 2,944 s s s s 1,736 2,033 2,895 s s 2,504 s
  Max 9,544 19,861 13,163 15,038 s 11,618 10,194 11,161 39,024 30,303 11,642 10,899
    Bacterial Pneumonia 3,187 3,167 3,096 2,615 2,839 3,059 3,158 3,064 3,465 5,034 2,960 3,728
      Min 1,644 s s s s 1,770 1,481 1,512 s s 1,540 s
      Max 5,668 9,238 9,506 15,038 s 7,469 6,055 6,354 19,512 15,152 6,329 7,065
    Urinary Tract Infection 1,626 2,273 1,975 1,290 1,489 1,653 1,907 1,766 2,081 2,642 1,758 1,984
      Min s s s s s 405 527 800 s s 784 s
      Max 4,527 10,624 10,922 9,023 s 5,354 4,602 4,807 19,512 15,152 5,312 4,511
Infection Due to Device or Implant 785 1,026 736 571 625 697 907 850 500 s 797 915
  Min s s s s s s s s s s s s
  Max 3,478 4,157 3,661 3,352 s 2,490 3,154 2,607 1,720 s 3,052 2,462
Dehydration 1,076 1,600 1,037 695 998 1,017 1,297 1,180 1,047 1,594 1,102 1,503
  Min s s s s s s 424 241 s s 420 s
  Max 2,984 3,172 15,190 10,526 s 2,595 3,564 2,834 4,364 6,186 2,567 3,717
Composite: ACSC Chronic Conditions 7,558 12,809 9,308 5,061 8,181 6,537 10,807 8,918 9,894 7,927 8,620 10,676
  Min s s s s s 1,309 1,778 840 s s 604 s
  Max 19,369 22,642 33,333 42,105 s 13,574 26,983 21,762 36,125 69,697 20,158 25,226
Composite: ACSC Acute Conditions 4,360 4,492 4,489 3,448 3,971 3,801 4,727 4,228 5,159 7,266 4,067 5,447
  Min 2,039 s s s s 1,685 2,033 2,290 s s 2,066 s
  Max 9,769 12,471 12,903 15,038 s 7,641 10,845 9,301 39,024 27,273 7,912 11,656
Composite: ACSC Overall 11,917 17,300 13,797 8,509 12,152 10,338 15,533 13,146 15,049 15,193 12,687 16,123
  Min 3,503 s s s s 2,333 5,185 3,498 s s 3,109 s
  Max 29,139 28,882 33,333 57,143 s 19,830 35,256 29,840 68,293 96,970 25,549 36,882
Pressure Ulcer 2,008 3,468 1,508 1,305 1,829 2,944 1,761 2,317 1,619 2,209 2,206 2,570
  Min s s s s s 509 377 567 s s 785 s
  Max 6,520 26,790 16,901 21,429 s 13,444 6,692 10,428 7,489 9,506 12,207 6,952
Injurious Falls 88 47 26 40 49 45 81 64 76 137 43 157
  Min s s s s s s s s s s s s
  Max 693 535 3,333 470 s 359 813 617 718 4,743 649 797
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Notes: 

ACSC = ambulatory care-sensitive condition; I/DD = intellectual and development disabilities; MSA = metropolitan statistical area; SMI = serious mental illness.

a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and people in the States of Arizona, Maine, Washington, and Wisconsin.

Minimum (min) and maximum (max) defined as lowest rate and highest rate among States.

Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare Denominator File.

Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.

HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix.

s = Suppressed due to small cell size.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

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Page last reviewed December 2012
Internet Citation: Table 8C: Medicaid-Only HCBS Participants. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab8c.html